UROLOGY · CONDITIONS
Stress Urinary Incontinence
Involuntary urine leakage during physical activity or increased abdominal pressure , a treatable condition that significantly impacts quality of life.
ABOUT THIS CONDITION
What is Stress Urinary Incontinence?
Stress urinary incontinence (SUI) is leakage of urine triggered by coughing, sneezing, laughing, lifting, or exercise , due to weakness of the urethral sphincter or pelvic floor. It affects women predominantly after childbirth or menopause, and men after radical prostatectomy. Dr. Vipin provides a stepwise management pathway , from supervised pelvic floor exercises through to day-care mid-urethral sling procedures , achieving cure in the majority of patients with minimal intervention.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Childbirth , vaginal delivery causing pelvic floor damage
- Menopause and oestrogen deficiency
- Obesity increasing abdominal pressure
- Radical prostatectomy in men (sphincter injury)
- Pelvic surgery , hysterectomy, pelvic repair
- Chronic cough or heavy lifting
CLINICAL DETAILS
KeyFacts
Pad test, voiding diary, urodynamic study, and pelvic examination confirm genuine SUI.
Supervised pelvic floor physiotherapy for 12 weeks before surgery is recommended.
30-minute day-care procedure. >85% cure rate. Long-term studies confirm durability.
AMS 800 artificial urinary sphincter is the gold standard for post-prostatectomy incontinence.
Mid-urethral sling is covered by most insurance plans as a standard procedure.
Return to light activities in 3–5 days. Full recovery in 4–6 weeks.
HOW WE TREAT IT
Treatment Approach
Mid-Urethral Sling , TVT / TOT
A tension-free polypropylene tape placed beneath the mid-urethra through a 30-minute day-care procedure , the gold standard surgical treatment for female stress urinary incontinence with >85% long-term cure.
- 1
Assessment
Voiding diary, urodynamics, and pelvic examination confirm SUI and exclude overactive bladder before planning treatment.
- 2
Pelvic Floor Therapy
Supervised pelvic floor muscle training for a minimum of 12 weeks as first-line management , effective in mild to moderate SUI.
- 3
Sling Procedure
TVT or TOT tape placed under the mid-urethra through small incisions as a 30-minute day-care procedure under local anaesthesia.
- 4
Recovery
Most patients are dry immediately or within days. Follow-up at 6 weeks confirms cure and addresses any residual voiding issues.
AVAILABLE TREATMENTS
Treatment Options
Mid-Urethral Sling , TVT / TOT
Tension-free vaginal tape or transobturator tape , 30-minute day-care procedure with >85% cure rate for female SUI.
Burch Colposuspension , Open / Laparoscopic
Bladder neck elevation by suturing paravaginal fascia to Cooper's ligament , durable alternative to sling when mesh is not preferred.
Pubovaginal Sling (Autologous Fascia)
Patient's own rectus fascia or fascia lata used as a sling , preferred for recurrent incontinence or where synthetic mesh is contraindicated.
Artificial Urinary Sphincter , AMS 800 (males)
Inflatable urethral cuff device implanted around the bulbar urethra , gold standard for male post-prostatectomy stress incontinence.
Common Questions
Frequently Asked Questions
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